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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA VEST (CREDENTIALING SUPERVISOR)
(717) 851-6928
Entity
Organization
Contact information
Practice address
101 W AIRPORT RD, LITITZ, PA 17543-9274
(717) 466-2445
(717) 466-2447
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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